JUPITER TAJ INVESTMENT GROUP, LLC (NPI# 1083109458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083109458 |
| Entity Type | Organization |
| Organization Name | JUPITER TAJ INVESTMENT GROUP, LLC |
| Other Organization Name | JUPITER TAJ INVESTMENT GROUP, LLC |
| Practice Address |
3335 Burns Rd Palm Beach Gardens FL 33410-4311 |
| Mailing Address |
731 N Us Highway 1 Tequesta FL 33469-2218 |
| Practice Telephone | 5615298059 |
| Mailing Telephone | 5612812105 |
| Mailing Fax Number | 5612812105 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | NICHOLAS BRADLEY BERKOS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5612812105 |
| Authorized Official Credential | COO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jupiter TAJ Investment Group, LLC | Former Legal Business Name - Organization |
| Wave Medical Assisted Therapy & Counseling | Doing Business As Name - Organization |
| Street Address |
3335 BURNS RD |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639129349 | Gardens Efl Imaging Center LLC | Radiology | 3335 Burns Rd, Suite 101, Palm Beach Gardens, FL 33410-4322 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699135186 | Ebb Tide Treatment LLC | Clinic/Center | 3385 Burns Rd, Suite 108, Palm Beach Gardens, FL 33410-4328 | 2016-02-26 |
| 1699149641 | Milestones Medical Center | Clinic/Center | 12300 Alt A1a, Suite 115, Palm Beach Gardens, FL 33410-2205 | 2015-11-13 |
| 1982099826 | Northstar Collaborative Health Institute, Inc. | Clinic/Center | 11382 Prosperity Farms Rd, 224, Palm Beach Gardens, FL 33410-3463 | 2015-03-30 |
| 1700280278 | Serenity Now Cmhc, Inc. | Clinic/Center | 357 Hiatt Dr, Palm Beach Gardens, FL 33418-8222 | 2014-10-13 |
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|---|---|---|---|---|
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| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on JUPITER TAJ INVESTMENT GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.